the effect of ıntensified sensory-based therapy on upper extremity functions and activities of daily living

Conditions: Stroke; Sensory Defect

Summary: sensory dysfunction following stroke is a common condition. the deficiency in the somatosensory system negatively affects the learning of new motor skills by preventing feedback from the sensory system, and it can also cause problems in daily life, personal care, productivity, and leisure activities. somatosensory impairment is often overlooked, as rehabilitation often focuses on motor abilities in the affected extremity. in the studies reviewed, it is stated that sensory dysfunction is seen in approximately 50% of stroke patients. the aim of this study is to examine the effects of intensified sensory-based therapy applied to the affected upper extremity sensory functions in individuals with chronic stroke on the upper extremity functions, quality of life, and independence of daily living activities.

sensory dysfunction following stroke is a common condition. the deficiency in the somatosensory system negatively affects the learning of new motor skills by preventing feedback from the sensory system, and it can also cause problems in daily life, personal care, productivity, and leisure activities. somatosensory impairment is often overlooked, as rehabilitation often focuses on motor abilities in the affected extremity. in the studies reviewed, it is stated that sensory dysfunction is seen in approximately 50% of stroke patients. the aim of the study; the aim of this study is to examine the effects of intensified sensory-based therapy applied to the affected upper extremity sensory functions in individuals with chronic stroke on the upper extremity functions, quality of life, and independence of daily living activities. thirty patients with chronic stroke will be randomized 1:1 to study (n:15) and control (n=12). thumb localization test, finger swipe test, stereognosis test, and two-point discrimination test will be used to evaluate the sensory functions of individuals. demographic information of individuals will be recorded with a sociodemographic information form. before the treatment, the sensory levels of all patients will be determined by thumb localization, finger scrolling and stereognosy tests. jebsen taylor hand function test (jthft), modified frenchay scale (mfs), canadian occupational performance measure (copm), goal attainment scale (gas) and stroke-specific quality of life scale (ssqol) will be administered before and after treatment.

Eligibility criteria:
inclusion criteria: * stroke duration more than 6 months, * to be able to communicate * 10 degrees of wrist dorsiflexion starting from full palmar flexion of the wrist * to initiate finger extension exclusion criteria: * joint contracture in the upper and lower extremities that will affect functionality other than stroke, * having a significant uncontrolled health problem and a history of epileptic seizures, * having 3 or more spasticity according to the modified ashworth scale (mas), * unable to communicate and cooperate, * with marked ataxia and dystonia, * lack of movement and function in the wrist and fingers * having a diagnosis of bilateral stroke